Asian Pacific Journal of Health Sciences

Marma Chikitsa to Manage Griva Sandhigata Vata W.S.R. to Cervical Spondylolisthesis – A Case Study

Pranav Singh Tomar, Bharat Bhalara, Tukaram Dudhamal — Wed, 05 Feb 2025 00:00:00 +0000

Introduction: Ayurveda is a life science that emphasizes treating the mind, body, and soul to achieve complete health. Detailed descriptions about Marma and Marma Chikitsa is found in the Sushruta Samhita and Siddha texts respectively. Manipulating or stimulating Marmas to manage various diseases is known as Marma Chikitsa or therapy. Cervical spondylolisthesis is a rare and uncommon condition in patients with neck pain. Typically, this abnormality presents with cervical pain without any neurological deficit. It usually involves a defect in the pedicle of the sixth cervical vertebra. The prevalence of anterior spondylolisthesis is 6.0% in men and 6.3% in women, and that of posterior spondylolisthesis is 13.2% and 8.9%, respectively. Aims and Objectives: To evaluate the effectiveness of Marma Chikitsa in the management of Griva Sandhigata Vata. Materials and Methods: A single case study of a 54-year-old married man who was diagnosed with traumatic spine injury (C5 anterolisthesis over C6 with cervical cord compression) visited Shalya Tantra Marma Chikitsa outpatient department with the chief complaint of pain over the left shoulder joint and neck along with weakness of the left upper limb. The treatment approach involved employing Marma Chikitsa, primarily targeting the upper extremities. Results: Following the treatment regimen, the patient experienced a substantial recovery, achieving a 90% restoration of movement range, albeit with minor discomfort at the limits of motion. Conclusion: Marma Chikitsa holds significant importance in managing Griva Sandhigata Vata (Cervical spondylolisthesis)

International Challenges and Complexities of Data Collection in National Health Accounts: A Narrative Review (2024)

Yogesh Chandra, Ajai Kumar Jain — Wed, 05 Feb 2025 00:00:00 +0000

National Health Accounts (NHAs) are a critical tool in hands of governments worldwide to decide upon the health policies and allocation of scarce healthcare resources. The outcomes depend on the quality and adequacy of NHA data. This international literature review examines the practical barriers and methodological challenges in collecting the data for NHAs. It ventures into the synthesis of findings based on 46 research papers published between 2000 AD and 2024 AD collected from various relevant sources. This study identifies multifaceted challenges spanning infrastructural, methodological, technological, institutional, and contextual dimensions. There are significant infrastructural constraints, particularly in developing regions of the world which include inadequate health management information systems, non-standardized data collection methods, and challenges in capturing the national health expenditures incurred on treatment by indigenous and traditional medicine systems in different countries. This review also highlights other critical impediments, such as methodological inconsistencies, technological limitations, data quality concerns, and governance and administrative challenges across different healthcare systems. The study emphasizes the urgent need for adequate investment in technological infrastructure, standardization of data collection methods, enhanced training programs, and stronger ethical frameworks for better outcomes. This study concludes that addressing these multifaceted challenges will play significant role in improving the reliability and utility of NHA data, ultimately enabling evidence-based policy-making, effective resource allocation, and enhanced healthcare outcomes on a global scale.

Clinical Efficacy of Parnabeejadi Rectal Suppository in the Management of Parikartika (Acute Fissure-In-Ano) – Randomized Controlled Clinical Trial

Supriya Kurane Singh, Vivek Singh, S. D. Waghmare — Tue, 11 Feb 2025 00:00:00 +0000

Acute fissure-in-ano is a distressing and common anorectal condition characterized by painful defecation and rectal bleeding. Although several treatment modalities are available in conventional surgery, the search for an effective and safe remedy remains ongoing. This study aims to assess the efficacy of Parnabeejadi rectal suppository as compared to diclofenac rectal suppository in managing acute fissure-in-ano. It was an open-label randomized controlled clinical trial. A total of 30 patients were enrolled in each group, patients of Group A received Parnabeejadi rectal suppository whereas patients of Group B were treated with diclofenac rectal suppository per anum, twice a day for a period of 2 weeks. The parameters for assessment were pain in the anal region, measured using a Visual Analog Scale, burning sensation, and bleeding P/R. Both groups showed a highly significant reduction in pain and burning sensation after 2 weeks of treatment, whereas the Parnabeejadi group had a better effect on bleeding P/R compared to the diclofenac group (P < 0.05).